Ultrasound-guided core-needle biopsy in thyroid nodules. A study of 676 consecutive cases with surgical correlation

Fano, Miguel Paja; Rodríguez, J.L. del Cura; Zabala, Rosa; Corta, I.; Lizarraga, Aitzol; Oleaga, Laura; Exposito, Amaia; Gutiérrez, M. Teresa; Ugalde, Aitziber; López, José I.

doi:10.1007/s00330-015-3821-1

Cited by 62 publications

(41 citation statements)

References 40 publications

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“…Based on these data, diagnostic surgery has been strongly recommended when ATL or TL are suspected clinically or on FNA [19,20]. CNB studies, however, have shown higher sensitivity, ranging from 80 to 100 %, and in most cases were diagnostic [21][22][23][24][25][26][27][28]. As such, several investigators have emphasized the importance of CNB in avoiding unnecessary diagnostic surgery, although the number of patients in their studies was small, with ten at the maximum.…”

Section: Discussionmentioning

confidence: 99%

Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma

Baek

Lee

et al. 2015

Eur Radiol

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Section: Discussionmentioning

confidence: 99%

Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma

Baek

Lee

et al. 2015

Eur Radiol

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“…Both observers identified LTILs as having a full-thickness defect or ‘torn’ when contrast injected into the radiocarpal compartment extravasated into the midcarpal compartment or contrast injected into the midcarpal compartment extravasated into the radiocarpal compartment via the lunotriquetral interval; observers classified all other LTILs as ‘not torn’ [19]. LTIL injury status was evaluated using static fluoroscopic images and MR arthrograms (see Figs 3, 4, 5, and 6 for examples of full-thickness LTIL tears).…”

Section: Methodsmentioning

confidence: 99%

“…Diagnostic discrepancies between observers were resolved by consensus upon rigorous re-evaluation of all available scans prior to statistical analysis. Given that subregions of the LTIL lie oblique to the axial plane and that, at our institution, MR arthrograms are routinely acquired in the standard axial plane, we did not feel we could reliably localize the portion(s) of the LTIL that were torn [19]. …”

Section: Methodsmentioning

confidence: 99%

Association of lunate morphology, sex, and lunotriquetral interosseous ligament injury with radiologic measurement of the capitate-triquetrum joint

et al. 2017

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Objective Radiologic presentation of carpal instability at the radial side of the carpus, e.g. scapholunate diastasis following scapholunate interosseous ligament injury, has been studied extensively. By comparison, presentation at the ulnar-sided carpus has not. The purpose of this study was to assess the effects of lunate morphology, sex, and lunotriquetral interosseous ligament (LTIL) status on the radiologic measurement of the capitate-triquetrum joint (C-T distance). Further, we sought to evaluate the diagnostic accuracy of C-T distance for assessing LTIL injuries. Materials & Methods We retrospectively identified 223 wrists with wrist radiographs and MR arthrograms with contrast injection. Data collected included sex, lunate morphology and LTIL status from MR arthrography, and C-T distance from radiography. The effects of lunate morphology, sex, and LTIL injury status on C-T distance were evaluated using generalized linear models. Diagnostic performance of C-T distance was assessed by the area under receiver-operator characteristic curve (AUROC). Results and conclusion Lunate morphology, sex, and LTIL injury status all had significant effects on C-T distance; wrists with type II lunates, men, and wrists with LTIL injuries had greater C-T distances than wrists with type I lunates, women, and wrists without LTIL injuries, respectively (p<0.01). The diagnostic value of the C-T distance was sufficient for women with type I (AUROC=0.67) and type II lunates (0.60) and good for men with type I (0.72) and type II lunates (0.77). The demonstrated influence of LTIL status on C-T distance supports the use of C-T distance as a tool for assessing full-thickness LTIL tears.

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“…Frozen sections are not useful in this context, demonstrating to be biased by a low diagnostic power, essentially due to the inconsistency of classical nuclear features in such methods. Some attempts have been made in order to reach higher diagnostic power in cases diagnosed as indeterminate by enlarging the amount of tissue sampled, and core needle biopsy has been used in this setting [25][26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Cytopathology of Follicular Cell Nodules

2015

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This article corresponds to a lecture delivered during the Endocrine Pathology Society symposium held in Boston on 21 March 2015 (104th USCAP meeting, March 21-27). It focuses on the importance of cytopathology in endocrine thyroid pathology and the limits and pitfalls of diagnosis in follicular cell lesions. Lights and shadows are present in each diagnostic technique: Fine needle aspiration has imposed itself as a gold standard in thyroid nodules thanks to its easiness of execution and high cost-effectiveness ratio. A milestone in this field is represented by the National Cancer Institute (NCI) Thyroid Fine Needle Aspiration (FNA) State of the State of the Science Conference hosted in October 22-23, 2007 by the NCI, followed by a series of documents published in Diagnostic Cytopathology and Cytojournal (2008) as well as in an atlas entitled: The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC): terminology and criteria (2010, Springer). "Gray" zones still remain, causing difficulties and anxiety to the cytopathologist when facing challenging cases. Each diagnostic category of TBSRTC is analyzed and discussed in a concise fashion with special emphasis on challenging cases such as atypia of undetermined significance (AUS), suspicion for follicular neoplasms (SFNs), diagnoses of papillary thyroid carcinoma (PTC) in Hashimoto thyroiditis and follicular variant of papillary carcinoma (FVPTC). Our aim was to better define and clarify the spectrum of follicular cell lesions in thyroid nodule samplings and to underline the diagnostic limits in order to avoid pitfalls. New emerging molecular biology techniques may represent useful tools in selected morphological challenging cases and lead to new therapeutic approaches in line with drug-tailored therapy and personalized medicine.

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Ultrasound-guided core-needle biopsy in thyroid nodules. A study of 676 consecutive cases with surgical correlation

Cited by 62 publications

References 40 publications

Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma

Core needle biopsy could reduce diagnostic surgery in patients with anaplastic thyroid cancer or thyroid lymphoma

Association of lunate morphology, sex, and lunotriquetral interosseous ligament injury with radiologic measurement of the capitate-triquetrum joint

Cytopathology of Follicular Cell Nodules

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